| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 70450 |
Computed tomography, head or brain; without contrast material |
416 |
387 |
$26K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
860 |
780 |
$22K |
| 74177 |
Computed tomography, abdomen and pelvis; with contrast material |
393 |
366 |
$17K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
856 |
777 |
$16K |
| 71046 |
Radiologic examination, chest; 2 views |
2,497 |
2,269 |
$14K |
| 71045 |
Radiologic examination, chest; single view |
1,271 |
953 |
$5K |
| 74176 |
Computed tomography, abdomen and pelvis; without contrast material |
84 |
84 |
$4K |
| 76830 |
Ultrasound, transvaginal |
27 |
27 |
$970.65 |
| 76642 |
|
22 |
12 |
$388.99 |
| 74018 |
|
90 |
80 |
$357.86 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$341.56 |
| 73610 |
|
28 |
25 |
$330.05 |
| 73630 |
|
32 |
30 |
$272.27 |
| 76705 |
Ultrasound, abdominal, real time with image documentation; limited |
13 |
12 |
$212.13 |